Active NPI
Anthony Francis Bellomo, M.D.
- Orthopaedic Surgery of the Spine Physician
- Sacramento, CA
National Provider Identifier
1295844074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- G79283
- Practice address
- 2805 J Street
Suite 210
Sacramento, CA 95816-4307 - Phone
- (916) 441-1973
- Fax
- (916) 441-1971
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | G79283 | CA | Primary |
| Pain Medicine Physician | 208VP0000X | G79283 | CA |
Addresses
Primary practice location
2805 J Street
Suite 210
Sacramento, CA 95816-4307
Mailing address
2805 J St
Suite 210
Sacramento, CA 95816-4307
Phone (916) 441-1973
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G792830 | Other | CA | BLUE SHIELD |
| P00000560 | Other | CA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G79283 | CA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony F Bellomo MD Inc | Orthopaedic Surgery of the Spine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Sacramento, CA
- NPI 1932359056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1295844074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 J ST",
"address_2": "SUITE 210",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958164307",
"telephone_number": "916-441-1973",
"fax_number": "916-441-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 J STREET",
"address_2": "SUITE 210",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958164307",
"telephone_number": "916-441-1973",
"fax_number": "916-441-1971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLOMO",
"first_name": "ANTHONY",
"middle_name": "FRANCIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "G79283",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "G79283",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G792830",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00000560",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.